Today's Top 20 Stories
  1. Ohio GI practice to close facility, relocate

    Akron (Ohio) Digestive Disease Consultants is closing its existing office Dec. 13 and relocating to a new facility, according to a Nov. 14 report from Akron.com.
  2. Physicians per capita in the 10 worst states for healthcare

    There are 133.06 physicians for every 100,000 residents in West Virginia, the worst-ranked state for healthcare.
  3. ASCs battle 'Goliath' hospital, payer power

    Hospital consolidation and payer mergers continue to reshape the healthcare landscape, presenting significant challenges for ASCs and smaller practices. 
  1. Physicians twisted 'into pretzels' under Stark law as leaders brace for reform

    The future of the Stark law is uncertain following a recent district court decision that a False Claims Act lawsuit against South Charleston, W.Va.-based Thomas Health System could not be resolved without further briefings on the U.S. Supreme Court's recent reversal of the Chevron deference doctrine.
  2. 'The biggest scam in the country': What 5 leaders are saying about Medicare Advantage 

    All of healthcare has struggled with declining reimbursements, patient care issues and administrative burdens associated with Medicare Advantage plans. 
  3. Private equity-backed medical practice to shutter

    Private equity backed healthcare clinic Forward plans to close its doors just a year after raising $100 million in a Series E funding round, according to a Nov. 13 report from Business Insider.
  4. Sanford Health adds Wyoming ASC

    Sioux Falls, S.D.-based Sanford Health is becoming the parent company of Black Hills Orthopedic and Spine Center, the Black Hills Surgical Hospital and the system's associated facilities in Rapid City, S.D., and Black Hills Surgery Center in Gillette, Wyo., including urgent care locations, clinics and an ASC. 
  1. Anthem BCBS issues anesthesia reimbursement time limit, leaders brace for cuts

    On Nov. 1, Anthem Blue Cross Blue Shield Plans representing Connecticut, New York and Missouri announced changes to their evaluation process for claims for anesthesia services. 
  2. What's coming for the FTC? 5 things physicians need to know

    Under the Biden administration, the Federal Trade Commission took strong anti-trust positions and boosted pro-worker policies, such as a ban on noncompete agreements. 
  3. What 5 leaders are saying about Stark law

    ASC and physician leaders are keeping a sharp eye on Stark law, which has evolved into a complex framework that continues to challenge compliance. 
  4. Physicians per capita in the 10 best states for healthcare

    There are 129.32 physicians for every 100,000 residents in Rhode Island, the best-ranked state for healthcare.
  1. Physician sues Prospect Medical Holdings alleging insurance fraud

    A former psychiatrist at Manchester Memorial Hospital in Hartford, Conn., is suing parent company Prospect Medical Holdings over alleged insurance fraud, CT Insider reported Nov. 13. 
  2. USPI vs. Surgery Partners vs. HCA: 13 Q3 financial notes

    United Surgical Partners International, Surgery Partners and HCA Healthcare, through its Surgery Ventures arm, are three of the largest ASC operators by number of centers. 
  3. The major players employing physicians

    Physicians are flocking to employed models, whether that be hospitals, health systems, private equity groups or payers. 
  4. Independent Michigan practice folds into hospital amid physician retirement

    Former independent practice Hillsdale (Mich.) Medical Associates is now owned and operated by Hillsdale Hospital, Hillsdale Daily News reported Nov. 13. 
  5. Nonprofit Florida clinic files for bankruptcy

    Bradenton, Fla.-based MCR Health, a nonprofit medical group, sought Chapter 11 protection Nov. 11, the Tampa Bay Business Journal reported Nov. 13. 
  6. Michigan gastroenterology ASC to shutter

    The Battle Creek (Mich.) Endoscopy and Surgery Center will close Dec. 31, laying off 17, WWMT reported Nov. 13. 
  7. Florida men charged with $28M fraud, kickback scheme

    Two Florida men were charged in a seven-count indictment for their role in a $28 million fraud scheme involving physician kickbacks for durable medical equipment. 
  8. UCHealth to pay $23M for false claims allegations

    Aurora, Colo.-based University of Colorado Health has agreed to pay $23 million to resolve allegations that it violated the False Claims Act by improperly coding certain evaluation and management claims, and submitting them to federal healthcare programs. 
  9. 5 ASC 'nuclear' verdicts in 5 years

    So-called "nuclear verdicts," defined as jury awards of more than $10 million in civil cases, have been on the rise across healthcare. 

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